SYDNEY — Fourteen members of an Australian religious group have been convicted of killing an eight-year-old diabetic girl who was denied insulin for almost a week.

Elizabeth Struhs died at home in 2022, having suffered from diabetic ketoacidosis, which causes fatally high blood sugar.

The court heard that Elizabeth's treatment was withheld because the group, known as the Saints, opposed medical care, believing God would heal her.

Her father Jason Struhs and the group's leader Brendan Stevens were on trial for murder but were convicted of the lesser charge of manslaughter. Twelve other members, including Elizabeth's mother and brother, were also convicted of manslaughter. All had pleaded not guilty.

When handing down his almost 500-page verdict on Wednesday, Justice Martin Burns said that although it was clear Elizabeth's parents and "every member of the church including all other accused" had adored her, their actions had resulted in her death.

"It cannot be doubted that Elizabeth was lovingly cared for in almost every way," he said.

"However, due to a singular belief in the healing power of God... she was deprived of the one thing that would most definitely have kept her alive."

The judge-alone trial in the Supreme Court of Queensland began in July last year and lasted several months.

Prosecutors called 60 witnesses and painted a picture of an "intelligent" child who suffered greatly in her final days.

"She was described as speaking little, needing help going to the toilet, and being incontinent," prosecutor Caroline Marco said of the lead-up to Elizabeth's death, adding that the girl would have endured vomiting, extreme lethargy, and a loss of consciousness.

The congregation, meanwhile, had prayed and sung for Elizabeth, whose health deteriorated as she lay on a mattress on the floor of her home in Toowoomba, about 125km (78 miles) west of Brisbane.

However, no effort was made to call a doctor, and authorities were not notified until 36 hours after her death, as the group believed she could be brought back to life, the court heard.

The 14 defendants, aged between 22 and 67, represented themselves at trial, having all refused legal representation or to enter pleas. The court was required to enter not guilty pleas on their behalf.

Most of the group had been charged because they had either counselled or aided her father in his decision to withhold Elizabeth's insulin, the court heard.

Prosecutors said that Jason Struhs, 53, had converted to the church much later than his wife Kerrie Struhs, 49, and that he had previously supported giving Elizabeth medicine.

They argued he later changed his mind and that ultimately he knew the decision would end his daughter's life, as did 63-year-old leader Brendan Stevens.

Speaking through tears when it was his turn to take the stand at trial, Jason Struhs said that he and Elizabeth had agreed to "stop the insulin" together, and that he still believed his daughter would be resurrected.

"Elizabeth is only sleeping, and I will see her again," he told the court.

Stevens defended the group's actions as faith-based and described the trial as an act of "religious persecution", the court heard.

He said that the group was within its "rights to believe in the word of God completely" and that their decision not to enter pleas was because the congregation had "no intention of fighting" the case by using law.

Justice Burns found that Jason Struhs and Stevens couldn't be convicted of murder because the prosecution had failed to prove beyond a reasonable doubt that the pair had intended to kill or cause grievous bodily harm to Elizabeth.

But all 14 defendants were guilty of manslaughter, he ruled, because they were jointly involved in a crime that resulted in her death.

Elizabeth's sister Jayde Struhs told the trial she had left the Saints and fled her family home at 16, after coming out as gay, and was now estranged from them.

Along with a string of other witnesses, she described the congregation as having increasingly strict views, including that mainstream healthcare should be shunned and that both Christmas and Easter were "pagan" or ungodly festivals.

The court also heard that Elizabeth's life had been in severe danger on a previous occasion.

More than two years before her death, Elizabeth had been admitted to hospital in a diabetic coma weighing just 15kg (2st 5lb), after having become too weak to walk.

Her formal diagnosis with type 1 diabetes soon followed, and her family was told she would need daily insulin injections to manage the condition.

Both parents were charged over that incident – however Jason Struhs testified against his wife in order to get a more lenient sentence.

At the time, he said his wife – who had been a member of the Saints for years – did not believe in providing their kids with medical treatment for religious reasons. He also openly expressed regret for having "let his daughter down".

The court heard he later helped provide her with insulin for a period while his wife was in jail, but that he then faced pressure from other members of the religious group to stop doing so.

In the months leading up to Elizabeth's death, her father was baptised into the group. He then "pushed aside [his] convictions" and began denying his daughter care to appease the congregation, prosecutors said.

Jayde Struhs said that while she was pleased with Wednesday's verdict, the "system had failed" her sister.

"We are only here today because more wasn't done sooner to protect her or remove her from an incredibly unsafe situation in her own home," she said in a statement outside court. — BBC